Organization
EXTRAORDINARY HOMECARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET LAWAL (ADMINISTRATOR)
(972) 302-1369
Entity
Organization
Contact information
Practice address
3939 BRIARGROVE LN, APT 2103, DALLAS, TX 75287-6340
(972) 302-1369
Mailing address
3939 BRIARGROVE LN, APT 2103, DALLAS, TX 75287-6340
(972) 302-1369
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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